Organization
MEDICINE TREE PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE BOYD ARNP (CEO/PRESIDIENT)
(406) 295-5752
Entity
Organization
Contact information
Practice address
318 E KOOTENAI AVE, TROY, MT 59935
(406) 295-5752
(406) 295-0314
Mailing address
PO BOX 3007, TROY, MT 59935-3007
(406) 295-5752
(406) 295-0314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D107540
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500024254
RAILROAD MEDICARE
MT
Enumeration date
03/10/2008
Last updated
06/11/2010
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